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CP1 Week 6 Tutorial

Intro:

What are qualitative functional assessments?

 Janda hip movements, Quadruped, cat-cow,

What are quantitative functional assessments? (Give some examples)

 Endurance assessments
 Functional movement screen (FMS)-
 Selective functional movement screen (SFMA)

Why are each useful?

When do we use functional assessments? What information do they give us?

Class exercise:

Functional Assessment Dylan Jason Jim Zac


Results
Cervical Flexor 198 sec - Good- Jim 115sec – poor - Z.W 36 seconds – examined
35 sec
Endurance Test by Dylan
Very poor /JAS
Cervical Extensor 2 mins plus - Jim 550sec – excellent - 2 mins plus – examined
600 sec
Endurance Test Z.W by dylan
Excellent /JAS
Side Bridge Endurance R Side -47 secs – Jim Right 55sec - Zac 55 seconds right side – L – 60 sec /JAS
Test L side – 54 secs - Jim Left 60sec - Zac dylan
65 seconds left side - R – 75 sec /JAS
dylan
Sit to Stand Test 6 seconds - zac 5.49 secs - Jim 6.3 / JAS 6.5 seconds - dyl

One Leg Balance Test Eyes open R/L - 30sec L leg – 17.17 - jim L leg – 32.20 /JAS Eyes open 30 seconds
Eyes closed: right- R leg 17.86 - Jim R leg – 30.24 /JAS Eyes closed mean 5sec
17sec left-12sec - ZW dylan

FMS

Test Technique Clinical Implications


1. Deep Squat Movement Pattern Hips, knees and ankles remain aligned in the Lower limb instability
sagittal plane Minimal to no movement is noted What areas are screened in this MP?
in lumbar spine |Dowel and hurdle remain  Shoulders, scapular, thoracic spine
parallel.  Pelvis and core to control movement
Lower limb mobility issues
Poor stabilisation and control
2. Hurdle Step Movement Pattern Hips, knees and ankles remain aligned in the Lower Limb Mobility, stability and functional
sagittal plane Minimal to no movement is noted symmetry.
in lumbar spine | Dowel and hurdle remain What areas are screened in this MP?
parallel  Pelvis and core to control movement

Lower Limb mobility issues


Poor stabilisation and control

3. Inline Lunge Movement Pattern Dowel contacts maintained | Dowel remains Lower limb Mobility, stability and functional
vertical | No torso movement noted Dowel and symmetry.
feet remain in sagittal plane | Knee touches What areas are screened in this MP?
board behind heel of front foot  Shoulders, scapular, thoracic spine
 Pelvis and core to control movement
Lower limb mobility issues
Poor stabilisation and control
4. Shoulder Mobility Reaching Movement Fists are within one hand length Upper limb mobility
Pattern What areas are screened in this MP?
 Shoulders, scapular, thoracic spine

5. Active Straight-Leg Raise Movement Vertical line of the malleolus resides between Lower Limb
Pattern mid- thigh and ASIS The non- moving limb Ability to disassociate lower extremities while
remains in neutral position maintaining stability in the pelvis and core
Hamstring, gastroc/soleus flexibility whilst
maintaining stable pelvis and active extension of
the opposite leg
6. Trunk Stability Push-up Movement The body lifts as a unit with no lag in the spine What areas are screened in this MP?
Pattern  Upper body strength
 Core stability
7. Rotary Stability Movement Pattern To score a 3 - Neutral cat dog position on all 4s, Poor reflex stabilisation of trunk and core
bring ipsilateral elbow and knee to touch each Compromised scapular and hip stability
other. Repeat on both sides. Limited knee, hip, spine and shoulder mobilit
To score a 2 - If cannot perform above then in
same position try to bring elbow in and touch
contralateral knee. If cannot perform patient
scores 1

Test Dylan Jason Jim Zac


1. Deep Squat Final 2 Score: 3 Score: 1 Score: 1
Comments: heels slightly Comments: perfect Comments: femur did not Comments: torso leaning
elevated, knees aligned, technique go below knee line forward, lumbar flexion
Looked stable -ZW / JAS
-Jim
2. Hurdle Step: R) 3 R) score 3 3 right and left R) Score: 3
 Left L) Score: 2 – lower limb
 Right L) 3 L) score 2 - Left leg internally Fluid in all motions alignment is lost (1)
rotated and knee pushed
Comments: solid through all outwards to get over bar
motions
-Jim
3. Inline Lunge R)3 (2) Right and left 3 R) 3
 Left R) - 3 L) 3
 Right L)2 – knee poking out L) - 2 = unstale on lunge Fluid in motion
slightly.
-Jim
4. Shoulder Mobility R) 2 L)-2 – bottom hand limited Right 2 R)1
 Left range Left 1 L)1
 Right L)1 Bottom hand limited R)-3
range Reduced rom in both
-Jim
5. Active SLR R) 2 L)- 1 1 on both sides – R) 1
 Left R)- 1 contralateral knee raised at L) 1
 Right L) 1 ( knee bend, Rleg slight Both sides contralateral 60-70 degrees of hip flexion
lift knee lifts at around Tight hip flexors lol
-Jim 80degrees
6. Trunk Stability Push- 2 - JIm 3 2 – slight delay in lift BL) 3
up

7. Rotary Stability 2 - JIm R) - 3 BL) 3


Movement Pattern L) - 3

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2. Malhi GS, Bassett D, Boyce P, Bryant R, Fitzgerald PB, Fritz K, et al. Royal Australian and New Zealand College of Psychiatrists clinical practice
guidelines for mood disorders. Australian & New Zealand Journal of Psychiatry. 2015;49(12):1087-206.

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